Non-Invasive Ventilation

  • G. Conti
  • M. Antonelli
  • A. Gasparetto
Conference paper

DOI: 10.1007/978-3-662-13450-4_41

Volume 1997 of the book series Yearbook of Intensive Care and Emergency Medicine (YEARBOOK)
Cite this paper as:
Conti G., Antonelli M., Gasparetto A. (1997) Non-Invasive Ventilation. In: Vincent JL. (eds) Yearbook of Intensive Care and Emergency Medicine 1997. Yearbook of Intensive Care and Emergency Medicine, vol 1997. Springer, Berlin, Heidelberg

Abstract

Mechanical ventilation through an endotracheal tube (ETT) is an accepted, life-saving procedure for patients with acute respiratory failure (ARF), after the failure of conventional treatments (O2 + drugs). However, the positioning of an ETT is an invasive procedure, that can be associated with the development of important complications, stress and discomfort, which may worsen the clinical condition of critically ill patients; moreover this situation of stress and discomfort often makes the administration of sedative agents necessary, with further clinical and psychological drawbacks. In more detail, the presence of a translaryngeal ETT can directly produce injuries at the contact point between the airway mucosa and the cuff of the ETT causing ulceration, inflammation and/or edema, and submucosal hemorrhage, that are the pathological “prelude” for life-threatening complications such as airway stenosis [1, 2]. Moreover, the presence of an ETT profoundly affects all the normal defense mechanisms against upper airway infection, probably increasing the risk of severe complications like nosocomial pneumonia, sinusitis, and ear infections.

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Copyright information

© Springer-Verlag Berlin Heidelberg 1997

Authors and Affiliations

  • G. Conti
  • M. Antonelli
  • A. Gasparetto

There are no affiliations available